J Korean Diabetes.  2021 Jun;22(2):71-76. 10.4093/jkd.2021.22.2.71.

COVID-19, Home Training for Patients with Diabetes Mellitus

• Kim H

• KMID: 2526183
• DOI: http://doi.org/10.4093/jkd.2021.22.2.71

Abstract

Due to the coronavirus disease 2019 (COVID-19) pandemic, people's physical activity has declined by 35% because their time spent at home has increased. Decreased physical activity can increase both the number of people with type 2 diabetes annually by more than 11.1 million and the number of deaths by more than 1.7 million. Thus, exercise is important during the COVID-19 pandemic, especially in relation to diabetes. If a person with the COVID-19 virus lacks exercise, the risk of hospitalization is increased by 2.2 times and the risk of death by 2.5 times. In the context of COVID-19, the purpose of home training for patients with diabetes mellitus is to reduce body fat percentage, increase muscle function and mass, and improve insulin resistance. The recommended home training program is a circuit-based exercise regime that combines aerobic exercise and strength exercise. In addition, muscle stretching exercises are recommended for home training programs to increase muscle function.

Keyword

Circuit-based exercise; Diabetes mellitus; type 2; Exercise; Muscle stretching exercises

Reference

1. Marçal IR, Fernandes B, Viana AA, Ciolac EG. The urgent need for recommending physical activity for the management of diabetes during and beyond COVID-19 outbreak. Front Endocrinol (Lausanne). 2020; 11:584642.

2. Korea Health Promotion Institute. Health investment perception survey. Seoul: Korea Health Promotion Institute. 2020.

3. Doctor's News. The lifestyle that COVID-19 has changed are increased smoking and decreased physical activity and drinking. Available from:. https://www.doctorsnews.co.kr/news/articleView.html?idxno=138188. (updated 2021 Feb 9).

4. Suh SH, Paik IY, Jacobs K. Regulation of blood glucose homeostasis during prolonged exercise. Mol Cells. 2007; 23:272–9.

5. Bergman BC, Butterfield GE, Wolfel EE, Casazza GA, Lopaschuk GD, Brooks GA. Evaluation of exercise and training on muscle lipid metabolism. Am J Physiol. 1999; 276:E106–17.

6. Wang Y, Simar D, Fiatarone Singh MA. Adaptations to exercise training within skeletal muscle in adults with type 2 diabetes or impaired glucose tolerance: a systematic review. Diabetes Metab Res Rev. 2009; 25:13–40.

7. Winnick JJ, Sherman WM, Habash DL, Stout MB, Failla ML, Belury MA, et al. Short-term aerobic exercise training in obese humans with type 2 diabetes mellitus improves whole-body insulin sensitivity through gains in peripheral, not hepatic insulin sensitivity. J Clin Endocrinol Metab. 2008; 93:771–8.

8. Kelley GA, Kelley KS. Effects of aerobic exercise on lipids and lipoproteins in adults with type 2 diabetes: a meta-analysis of randomized-controlled trials. Public Health. 2007; 121:643–55.

9. Cohen ND, Dunstan DW, Robinson C, Vulikh E, Zimmet PZ, Shaw JE. Improved endothelial function following a 14-month resistance exercise training program in adults with type 2 diabetes. Diabetes Res Clin Pract. 2008; 79:405–11.

10. Ibañez J, Izquierdo M, Argüelles I, Forga L, Larrión JL, García-Unciti M, et al. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care. 2005; 28:662–7.

11. Sallis R, Young DR, Tartof SY, Sallis JF, Sall J, Li Q, et al. Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients. Br J Sports Med. 2021; doi: 10.1136/bjsports-2021-104080. [Epub ahead of print].

12. de Oliveira M, De Sibio MT, Mathias LS, Rodrigues BM, Sakalem ME, Nogueira CR. Irisin modulates genes associated with severe coronavirus disease (COVID-19) outcome in human subcutaneous adipocytes cell culture. Mol Cell Endocrinol. 2020; 515:110917.

13. Wolff T, Miller T, Ko S. Aspirin for the primary prevention of cardiovascular events: an update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2009; 150:405–10.

14. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016; 39:2065–79.